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BPPV. Normal physiology Pathophysiology – a positioning vertigo Diagnosis – correlating disease with symptoms and signs Cure – The Epley Manoeuvre Place of drugs – none . C >. BPPV. C >. C >. Animation. C >. Correlate pathophysiology with symptoms.

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    1. BPPV • Normal physiology • Pathophysiology – a positioning vertigo • Diagnosis – correlating disease with symptoms and signs • Cure – The Epley Manoeuvre • Place of drugs – none

    2. C > BPPV

    3. C >

    4. C >

    5. Animation

    6. C >

    7. Correlate pathophysiology with symptoms • Symptoms only occur when a particular SCC is stimulated • The duration of an individual episode of vertigo is typical – seconds only • Episodes come in spells

    8. Diagnosis and Cure • The Dix Hallpike test is diagnostic • The Epley Manoeuvre is curative

    9. Dix 1

    10. Dix 2

    11. Dix 2b

    12. Right Ear Downwards

    13. Characteristics of the nystagmus • Latent period – it doesn’t start immediately • Duration – less than a minute • Geotropic – towards the undermost ear • Reversed – when sitting up • Fatigable – less severe on second test

    14. Epley